The newly developed osteosynthesis system using a retroauricular approach based on 1.7 mm small fragment screws makes maxillomandibular immobilization unnecessary. The extra-articular position of the screw heads prevents scar-induced articular limitations. Preexisting degenerative alterations of the TMJ soft tissues, however, will affect functional results adversely.
To establish a profile of fractures related to sporting activities, to determine the extent to which these injuries resulted in morbidity, and to find suitable target areas for injury prevention, a one-year study was undertaken at Seremban Hospital, Negeri Sembilan, Malaysia, from July 15, 1998 to July 14, 1999. All patients presenting to the Department of Orthopaedic & Traumatology with fractures sustained during sporting activities were enrolled. Fractures related to sporting activities are increasing and an entity to be recognized despite the good function outcome of the treatment. Suitable target areas for injury prevention were found to be football (for males), netball (for females), the second decade of life and competitive sporting events.
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